title: Sepsis management in the deployed field hospital.
abstract: Sepsis, a syndrome caused by severe infection, affects a small proportion of military casualties but has a significant effect in increasing morbidity and mortality, including causing some preventable deaths. Casualties with abdominal trauma and those with significant tissue loss appear to be at a greater risk of sepsis. In this article, the diagnosis and management of sepsis in military casualties with reference to the Surviving Sepsis Campaign guidelines are examined. We discuss the management considerations specific to military casualties in the deployed setting and also discuss factors affecting evacuation by the UK Royal Air Force Critical Care Air Support Team.
authors.affiliation: Academic Department of Military Anaesthesia and Critical Care and Department of Military Medicine, Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
authors.forename: Andrew McD
authors.initials: AM
authors.lastname: Johnston
authors.forename: D
authors.initials: D
authors.lastname: Easby
authors.forename: I
authors.initials: I
authors.lastname: Ewington
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy; D000740:Anemia / Q000209:etiology / Q000628:therapy; D003428:Cross Infection / Q000517:prevention & control; D005334:Fever / Q000209:etiology / Q000628:therapy; D017408:Guidelines as Topic; D006801:Humans; D008889:Military Personnel; D008952:Mobile Health Units; D053717:Pneumonia, Ventilator-Associated / Q000517:prevention & control; D003668:Pressure Ulcer / Q000517:prevention & control; D018805:Sepsis / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D014187:Transportation of Patients; D006113:United Kingdom; D020246:Venous Thrombosis / Q000517:prevention & control
keywords: AVIATION MEDICINE; GENERAL MEDICINE (see Internal Medicine); INFECTIOUS DISEASES; INTENSIVE & CRITICAL CARE; THERAPEUTICS